VERIFICATION OF DATA SHEET

Date : 01 Nov 2022 03:27:30 PM

PERSONAL DETAILS

First Name RADHEY Middle Name SHYAM Last Name VISHWAKARMA

Date of Birth 10/02/1960 Nationality Indian Aadhaar Number -

PAN - Email ID hihellofinecool@gmail.com Gender Male

Address Line 1 VILL-BHOPATI PATTI PO-SHIVAPUR

Address Line 2 JAUNPUR

Pin Code - Country - State -

District - Mobile Number 8960367689 Marital Status Married

ECHS Recovery No Fixed Medical Allowance No

SERVICE DETAILS

Record Office NAVPEN Nature of Discharge Retirement Clause of Discharge On completion of

tenure

Initial Rank Sepoy Rank Last Held Master Chief Artificer

II

Regimental No. 204092Y TA Personnel No Old Regimental -

Number
MACP Granted - AICTE Diploma Holder No Group -

Date of Enrollment 28/12/1976 Date of Discharge 31/10/1999 Discharge - FN/AN Afternoon

Non-Qualifying Service 22/02/04 Forfeited Service 00/00/00

Non-Qualifying Service Start Date Non-Qualifying Service End Date Non Qualifying Period (YY/MM/DD)
28/12/1976 26/08/1977 0/8/0

Former Service 00/00/00

Extension of Service No Service Condoned (MM/DD) 00/00

Net Qualifying Service - Any Disciplinary action No Is Penalty Imposed ? No

pending?
Pension Recommended ( 100.0 Gratuity Recommended ( %) 100.0
%)
Commutation Yes Recommendation upto date 0 Shape-1 Yes
Recommended

SPOUSE DETAILS

First Name CHINTA Middle Name - Last Name DEVI

Spouse Alive Yes

Marital Status Married Date of Birth - Nationality Indian

Aadhaar Number - PAN - Email ID hihellofinecool@gmail.com

Mobile Number 8960367689 Eligible for Family Pension Yes

BANK DETAILS

Account Number 11071322286 IFSC Code of Paying Branch SBIN0000099

IFSC Code of Paying Branch STATE BANK OF INDIA Branch JAUNPUR

PAY DETAILS

Central Pay Commission (CPC) 5

Level in Pay Matrix - Pay in Pay Matrix (in Rs) -

NPA(in Rs) 0

Last Pay (in Rs.) - Avg. Pay of Last 10 Months (in Rs.) -

CPC 5 Date From 01/01/1999 Date to 31/10/1999

Level In Pay Matrix Pay In Pay Matrix 0

NPA(in Rs) 0

Total Demand (in Rs.) 0

OTHER DETAILS

Receiving any other Pension No PPO Number -

Declarations Undertaken during PDV

Undertaking of Refund of Excess Payment

I, the undersigned, agree and undertake to refund or make good any amount to which I am not entitled or any amount which may
be credited to my account in excess of the amount to which I am or would be entitled. I further hereby undertake and agree to bind
myself and my heirs, successors, executors and administrators to indemnify the PCDA(Pensions) Allahabad from and against any
loss, suffered or incurred by the PCDA(Pensions) Allahabad in so crediting my pension to my account under the scheme and to
forthwith pay the same to the PCDA(Pensions) Allahabad and also irrevocably authorize the PCDA(Pensions) Allahabad to recover
the amount due by by making recoveries from future pension payments in terms of existing instructions issued by RBI and
PCDA(Pensions) Allahabad regarding recovery of overpayment of pension.

Consent for receiving notification on mobile number and email id

I hereby give my consent to receive regular notifications on the mobile number and email id mentioned in my Personal details.

Acceptance Declaration

I hereby confirm that I have verified my details available in the audited pension claim and found those correct, exc